Successful removal of secondary renal stone formations and foreign body in collecting system with percutaneous nephrolithotomy : Case report

Yıl 2014, Cilt: 6 Sayı: 3, 1 - 3, 01.12.2014

Abdullah Açıkgöz İnanç Yılmaz Oğuzhan Parlakkılıç Fatih Osman Kurtuluş

Öz

Percutaneous nephrolithotomy PCNL is a widely accepted treatment for urinary calculi, but it is not without complications. Nephrolithiasis, ureteral stricture, and upper tract malignancies can often be managed using a variety of endourologic techniques and equipments. During PCNL, renal stone fragments are usually removed by alligator or other different forceps, or a small basket. Herein successful removal of foreign body stone formed around a piece of forceps which were broken and could not be removed from within the kidney during primary PCNL were presented with the review of the current literature.

Anahtar Kelimeler

kidney stone, percutaneous nephrolithotomy, foreign bodies

Böbrek toplayıcı sistemindeki yabancı cisim ve taşların perkütan nefrolitotomi yöntemiyle başarılı şekilde çıkarılması: Olgu sunumu

Öz

Perkütan nefrolitotomi PCNL üriner sistem taş hastalığında yaygın olarak kabul görmüş bir tedavi yöntemidir, ancak komplikasyonsuz değildir. Böbrek taşları, üreteral darlıklar ve üst üriner sistem malignensilerinin tedavilerinde çeşitli endoürolojik teknikler ve ekipman kullanılmaktadır. PCNL sırasında böbrek taşı parçacıkları alligatör, daha değişik forsepsler veya basket kateter kullanılarak çıkarılmaktadır. Bu yazıda önceki PCNL operasyonu sırasında böbrek içinde kırılan ve alınamayan etrafı taşlaşmış forseps parçasının PCNL tekniği kullanılarak çıkarılması sunuldu ve güncel literatüre göre değerlendirildi.

Anahtar Kelimeler

böbrek taşı, perkütan nefrolitotomi, yabancı cisim

Kaynakça

• Preminger GM, Assimos DG, Lingeman JE, Na- kada SY, Pearle MS, Wolf JS Jr; Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. J Urol 2005; 173: 1991-2000.
• Rudnick DM, Stoller ML. Complications of percutaneous nephrostolithotomy. Can J Urol 1999; 6: 872-875.
• Michel MS, Trojan L, Rassweiler JJ. Complica- tions in percutaneous nephrolithotomy. Eur Urol 2007; 51(4): 899-906
• Shin TS, Cho HJ, Hong SH, Lee JY, Kim SW, Hwang TK. Complications of Percutaneous Nephrolithotomy Classified by the Modified Clavien Grading System: A Single Center’s Experience over 16 Years. Korean J Urol 2011; 52: 769-775.
• de la Rosette JJ, Opondo D, Daels FP, et al. Categorisation of complications and validation of the Clavien score for percutaneous nephro- lithotomy. Eur Urol 2012; 62: 246-255.
• Lincourt AE, Harrell A, Cristiano J, Sechrist C, Kercher K, Heniford BT. Retained foreign bodies after surgery. J Surg Res 2007; 138(2): 170-174.
• Eisenberg ML, Lee KL, Stoller ML. Endoscopic management of retained renal foreign bodies. Urology 2009; 73(6): 1189-1194.
• Applewhite JC, Assimos DG. Recurrent suture urolithiasis 29 years after open pyelolithotomy. J Endourol 1999; 13(6): 437-439.
• Coelho RF, Mitre AI, Srougi M. Intrarenal foreign body presenting as a renal calculus. Clinics (Sao Paulo) 2007; 62(4): 527-528.
• Dasgupta R, Hannah K, Glass J. Case report: percutaneous nephrolithotomy for a stone on a Hem-o-lok clip. J Endourol 2008; 22(3): 463- 464.
• Bissas A, Dellis A, Bafaloukas N, Sopilidis O, Livadas K, Skolarikos APercutaneous nephro- lithotomy to remove a cartridge detonating cap mimicking a renal pelvic stone 12 years after renal trauma. J Endourol 2005; 19: 719–721.